Organization
RANDALL P. RICHE MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL PAUL RICHE MD (PRESIDENT)
(850) 432-9698
Entity
Organization
Contact information
Practice address
4700 BAYOU BLVD STE 1B, PENSACOLA, FL 32503-2670
(850) 432-9698
(850) 432-9453
Mailing address
4700 BAYOU BLVD STE 1B, PENSACOLA, FL 32503-2670
(850) 478-1312
(850) 432-9453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME59729
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259118900
—
FL
Enumeration date
04/26/2006
Last updated
07/29/2021
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